<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label for="c-userId" class="control-label col-xs-12 col-sm-2">{:__('UserId')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-userId" class="form-control" name="row[userId]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label for="c-qq" class="control-label col-xs-12 col-sm-2">{:__('Qq')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-qq" data-rule="required" class="form-control" name="row[qq]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label for="c-province" class="control-label col-xs-12 col-sm-2">{:__('Province')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-province" data-rule="required" class="form-control" name="row[province]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-city" class="control-label col-xs-12 col-sm-2">{:__('City')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-city" data-rule="required" class="form-control" name="row[city]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-district" class="control-label col-xs-12 col-sm-2">{:__('District')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-district" data-rule="required" class="form-control" name="row[district]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-address" class="control-label col-xs-12 col-sm-2">{:__('Address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-address" data-rule="required" class="form-control" name="row[address]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-consignee" class="control-label col-xs-12 col-sm-2">{:__('Consignee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-consignee" data-rule="required" class="form-control" name="row[consignee]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-mobile" class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" data-rule="required" class="form-control" name="row[mobile]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-province2" class="control-label col-xs-12 col-sm-2">{:__('Province2')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-province2" data-rule="required" class="form-control" name="row[province2]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-city2" class="control-label col-xs-12 col-sm-2">{:__('City2')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-city2" data-rule="required" class="form-control" name="row[city2]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-district2" class="control-label col-xs-12 col-sm-2">{:__('District2')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-district2" data-rule="required" class="form-control" name="row[district2]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-address2" class="control-label col-xs-12 col-sm-2">{:__('Address2')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-address2" data-rule="required" class="form-control" name="row[address2]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-wangwang" class="control-label col-xs-12 col-sm-2">{:__('Wangwang')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-wangwang" data-rule="required" class="form-control" name="row[wangwang]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-tel" class="control-label col-xs-12 col-sm-2">{:__('Tel')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-tel" data-rule="required" class="form-control" name="row[tel]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
